Department of Paediatric and Adolescent Medicine, Princess Margaret Hospital, Roberts Road, Subiaco WA 6008, Australia.
Arch Dis Child. 2012 Oct;97(10):919-21. doi: 10.1136/archdischild-2012-301835. Epub 2012 Jul 4.
Opportunistic health screening has long been promoted by advocates of adolescent health. However, there are few objective data documenting the outcomes in an inpatient setting.
The authors performed opportunistic health screening on 114 surgical inpatients, median age 14 (range 10-18) years, admitted to a general adolescent ward in a tertiary children's hospital. A four-page paper document with a formatted list of questions, based on the Home, Education, Activities, Drugs, Sexual Health, Suicide framework, was developed to standardise screening and documentation.
Areas of concern requiring intervention were identified in 34 (30%) patients. Specific interventions included referrals to the Adolescent Medicine clinic (n=6), Hospital School Services (n=7) and Psychological Medicine (n=7).
Consideration should be given to offer adolescent health screening to all surgical inpatients. Further research should involve the participation of young people and should focus on the outcomes, feasibility, acceptability and resource implications of such screening.
机会性健康筛查一直受到青少年健康倡导者的推崇。然而，很少有客观数据记录住院环境中的结果。
作者对 114 名外科住院患者进行了机会性健康筛查，中位年龄 14 岁（范围 10-18 岁），他们被收治在一家儿童医院的普通青少年病房。作者制定了一份四页纸的文件，其中包含一个格式化的问题清单，基于家庭、教育、活动、药物、性健康和自杀框架，以标准化筛查和记录。
在 34 名（30%）患者中发现了需要干预的关注领域。具体干预措施包括转介至青少年医学诊所（n=6）、医院学校服务（n=7）和心理医学（n=7）。
应考虑对所有外科住院患者提供青少年健康筛查。进一步的研究应涉及年轻人的参与，并应重点关注此类筛查的结果、可行性、可接受性和资源影响。
